Download Diseases of the Reproductive Tract of the Male

Diseases of the Reproductive
Tract of the Male
Penis and Prepuce
Bulls
Hematoma of the Penis
(Broken Penis)
Pertinent Anatomy
Pressure in the corpus cavernosum penis (CCP)
can be 200-400 lbs/sq in. at breeding
Hematoma of the Penis
Rule-outs
Cellulitis
“Water belly”
Prognosis
Treatment
Surgery is probably indicated:
If the hematoma is >10-20 cm wide and
If the injury is recent (<~7days)
Small or old lesions should be treated conservatively
Sexual rest, antibiotics, hydrotherapy, ultrasound, etc.
Complications
Abscess formation
Adhesions
Nerve damage
Recurrence
Pain at breeding
Erection failure
Thrombosis
Cavernosal venous
shunts
Hemosemen (Hemospermia)
Caused by lesions on the penis or
prepuce or in the urethra
Treatment
Treat inciting cause
Sexual rest and antibiotic therapy
Urethral Fistula
Apical Ligament
Firm attachment on the left but loose on the right
Deviations of the Penis
Result from abnormalities of the apical
ligament
Often develop over time
Diagnosed by observing mounting
Treatment is surgical but may not be advisable
Usually involves reinforcing the apical ligament and
establishing a fibrous tissue connection between it
and the tunica albuginea
Spiral Deviation
Deviation of the Penis
Spiral deviation
Ventral deviation
Apical ligament (AL) slips off the left side of the
penis prior to intromission
Insufficiency or excessive length of the AL or
defects in the ccp or tunica albuginea
S-shaped curve of the penis
The AL may be too short
Treatment is not possible but may not be necessary
Persistent Frenulum
May be heritable
Penile Warts
Treatment and Control
Excise under local anesthesia
Ligation of the base to cause sloughing
Autogenous (and commercial) vaccines can be used
for prevention
Treatment
Cryotherapy or
electrocautery
Controls hemorrhage
May slow healing
Balanoposthitis
Granular posthitis
Infectious pustular
balanoposthitis
Miscellaneous
Treat with sexual rest
and local application of oily
antibiotic preparations.
Guard against venereal
spread.
Hair Rings
Preputial Injuries
Polled and Bos indicus breeds are more susceptible
because of deficiency of the retractor prepuce muscle
Bos indicus breeds can also have pendulous sheaths,
large preputial orifices and excessive preputial
mucosa
Lacerations of the Prepuce
Minor lacerations not involving the elastic membrane
may heal spontaneously with sexual rest
Lacerations involving the elastic membrane usually
require treatment
Treatment of Laceration with Phimosis
Laceration with Prolapse
Treatment
Initial goal – Replace the prolapse
Treatment
Treatment
After the prolapse has been reduced
Reduce the size of the preputial orifice to
prevent re-prolapse
A Penrose drain sutured on the end of the
penis provides urine drainage.
Treat as for laceration with phimosis
Complications
Stenosis or fibrosis
of the prepuce
Longitudinal
laceration heals
transversely
Retropreputial
abscess
Poor prognosis for
breeding
Surgery
To remove stenotic portion of prepuce or
pendulous portions
Should only be attempted after all
swelling and infection have gone
Techniques
Reefing operation
Amputation of a portion of the prepuce
Prevention by Selection
Lacerations of the Penis
Congenitally Short Penis
Stallions
Injuries can result
from breeding
accidents, kicks,
fences, whips, etc.
Always make sure
urine output is
normal
Trauma from Devices Used to
Prevent Masturbation
Traumatic Injuries
Hematoma of the Penis
Hematoma of the Penis
External vessels are involved
Treatment
Local therapy
Systemic therapy,
as indicated
Support
Once the penis can
be replaced into the
prepuce, it needs to
be retained there
Treatment
Surgery may be required
required
E.g., Circumcision = the reefing operation
Priapism and Paralysis
Treatment
Priapism
Medical
First 6 hours: 8 mg benztropin mesylate slowly
IV
10 mg phenylephrine in 10 ml saline into CCP
Compression
Flushing the CCP with heparinized saline or LRS
Treatment
Paralysis
Local therapy, replace and retain in prepuce
May not be a permanent solution
Special collection techniques
Artificial vagina
Warm compresses
Ex copula ejaculation
Paralysis of the Penis and Priapism
Amputation or surgical
retraction may be necessary
Neoplasms
Neoplasms
Biopsy to
diagnose
Treat squamous
cell carcinomas
with 5-fluorouracil,
and surgery, as
indicated
Habronemiasis (Summer Sores)
Ivermectin is effective against the
parasite
Equine Coital Exanthema
Hemosemen
Source
Check mare if natural
breeding used
Surface of penis
Seminal vesiculitis
Urethra
Unknown
Venereal Diseases
Contagious Equine Metritis
Reportable
Discussed in VHM 321
Equine Viral Arteritis
Recent outbreak in the USA
Major concern
Klebsiella, Pseudomonas, Streptococcus
Uncommon since washing the penis with
disinfectant soaps has been discontinued
Boars
Persistent Frenulum
Trauma to the Penis
Conditions of the Preputial Diverticulum
Conditions of the Preputial Diverticulum
‘Balling up’
Surgical Removal of the Preputial Diverticulum
Penile hypoplasia, cavernosal venous shunt
Preputial prolapse and ?????
Rams
Enzootic Balanoposthitis (Pizzle Rot)
High-protein diets
Corynebacterium
renale breaks
down urea to
ammonia
High ammonia
content causes
irritation
Damage to the Urethral Process
May not always affect fertility
Goats - Intersexes
XX Male
pseudohermaphrodites
Wide spectrum of
phenotypes
Linked to the dominant
polled gene
Affected goats must be
homozygous for the
polled gene
Condition absent if one or
both parents are horned
Dogs
Balanoposthitis
Congenital defects,
e.g.,
Persistent frenulum
Hypoplasia
Retrograde
ejaculation
Paraphimosis
Urethral Prolapse
Trauma to the Penis
Sometimes can result in fracture of the os
penis
Transmissible Venereal Tumor
Accessory Sex Glands
Bulls – Seminal Vesiculitis
Stallions – Seminal Vesiculitis
Scrotum, Testicles, Epididymides,
Vas Deferens and Spermatic Cord
Cryptorchidism
Cryptorchidism
Hormonal Tests as Diagnostic Aids
Stallions
Resting testosterone levels
Cox test
Resting levels of testosterone are compared to
levels after hCG (LH) stimulation
Estrone sulphate levels
Values may overlap those of castrated males
Usually elevated in stallions or cryptorchids >3years-old
Dogs
Stimulation test using GnRH
Torsion of the Spermatic Cord (or
Testicle)
Cause acute pain
Most common in
canine cryptorchid
testicles
Occasionally are
normal
developmental
abnormalities
Testicular tumors
Dogs
Much more common in cryptorchid testes
Can metastasize
Types
Interstitial cell, seminoma, Sertoli cell, mixed
Stallions
Seminomas are most common
Teratomas may be more common in
cryptorchid testicles or in young stallions
Testicular Tumors
Canine Sertoli cell tumors
Lesions of the Scrotal Skin
Abnormal Scrotal Shape
Normal
Abnormal Effects on
spermatogenesis may
vary
Inguinal Hernia
Hematocele and Hydrocele
Orchitis
Epididymitis
Epididymitis in Rams
Caused by Brucella ovis
Transmission
Venereal
Homosexual activity
among rams
Mucous membranes
Orally
Can cause abortions,
infertility, etc.
Epididymitis in Rams
Rams are the reservoir
Infections can be active, transient or subclinical
Diagnosis
Serum ELISA test
Also
Clinical signs
Culture or staining of the semen
WBC in the semen
Pathology and culture of specimens
Epididymitis in Rams
Treatment
Usually ineffective and inadvisable
Control
Vaccination is not recommended
Eradication based on
Scheduled ELISA testing
Culling infected rams
Biosecurity measures
Periodic semen culture
Lamb Epididymitis/Orchitis
Caused by Actinobacillus and
Histophilus spp.
Occurs at 4-18 months of age
Can be subclinical or clinical
Need to rule out Brucellosis
Tetracyclines can be used for control or
to treat subclinical cases
Segmental Aplasia of the Wolffian
Duct
Spermatoceles and Sperm Granulomas
Sperm Occluded Ampullae in the Stallion
Few or no sperm in
the ejaculate
Sperm may be tailless
Diagnosis
Palpation
Ultrasonography
Semen AP levels
Treatment
Massage
Frequent collection +/oxytocin or PGF
Testicular Hypoplasia
Testicular Hypoplasia
Hereditary
Common in doublemuscled breeds
Varies in severity
Produce less sperm
and may progress to
testicular
degeneration
Testicular Degeneration
Important cuase of
male infertility
Variety of causes
or idiopathic
Testicles become
soft, and
sometimes
smaller or fibrotic
Testicular Degeneration
Recovery can take months
or not occur
Testicular Aplasia
Rare condition
Tortoiseshell or Calico Cats
The orange and
black/brown colours
are both linked to X
genes
Males are usually
sterile as they will
have two X
chromosomes
Behavioral Problems in Stallions
Libido and Mating Problems
Causes
Physical
Management
Inherited
Treatment may not
be advisable